Provider Demographics
NPI:1316512791
Name:MCCONNELL, ERIN CATHERINE (DPT)
Entity type:Individual
Prefix:DR
First Name:ERIN
Middle Name:CATHERINE
Last Name:MCCONNELL
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:3592 PLUM DALE DR
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22033-1249
Mailing Address - Country:US
Mailing Address - Phone:703-774-8814
Mailing Address - Fax:
Practice Address - Street 1:8230 BOONE BLVD STE 202
Practice Address - Street 2:
Practice Address - City:TYSONS
Practice Address - State:VA
Practice Address - Zip Code:22182-2647
Practice Address - Country:US
Practice Address - Phone:703-205-1233
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-26
Last Update Date:2021-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305214327225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist