Provider Demographics
NPI:1831557883
Name:VANKO, ERIN MCCONNELL (MOT)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:MCCONNELL
Last Name:VANKO
Suffix:
Gender:F
Credentials:MOT
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:E
Other - Last Name:MCCONNELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:40 W 11TH AVE STE A
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17404-2051
Mailing Address - Country:US
Mailing Address - Phone:717-852-7733
Mailing Address - Fax:717-852-7503
Practice Address - Street 1:40 W 11TH AVE STE A
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17404-2051
Practice Address - Country:US
Practice Address - Phone:717-852-7733
Practice Address - Fax:717-852-7503
Is Sole Proprietor?:No
Enumeration Date:2016-02-05
Last Update Date:2018-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119006840225X00000X
PAOC015650225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist