Provider Demographics
NPI:1164791596
Name:PARCELL MITCHELL, JANET L (PT, DPT, ATC, CSCS)
Entity Type:Individual
Prefix:DR
First Name:JANET
Middle Name:L
Last Name:PARCELL MITCHELL
Suffix:
Gender:F
Credentials:PT, DPT, ATC, CSCS
Other - Prefix:DR
Other - First Name:JANET
Other - Middle Name:L
Other - Last Name:PARCELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT, ATC, CSCS
Mailing Address - Street 1:6711 US HIGHWAY 11
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:NY
Mailing Address - Zip Code:13617-3969
Mailing Address - Country:US
Mailing Address - Phone:315-323-4604
Mailing Address - Fax:
Practice Address - Street 1:20104 NYS RT 3
Practice Address - Street 2:
Practice Address - City:WATERTOWN
Practice Address - State:NY
Practice Address - Zip Code:13601-5560
Practice Address - Country:US
Practice Address - Phone:315-779-7000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-13
Last Update Date:2011-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY031524225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist