Provider Demographics
NPI:1609084490
Name:PARSONS, JAMIE ANN (PT, CLT, DPT)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:ANN
Last Name:PARSONS
Suffix:
Gender:F
Credentials:PT, CLT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1913 STATE HIGHWAY 68
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:NY
Mailing Address - Zip Code:13617-3408
Mailing Address - Country:US
Mailing Address - Phone:315-261-5490
Mailing Address - Fax:315-261-6490
Practice Address - Street 1:80 E MAIN ST
Practice Address - Street 2:SUITE 204
Practice Address - City:CANTON
Practice Address - State:NY
Practice Address - Zip Code:13617-1450
Practice Address - Country:US
Practice Address - Phone:315-261-5490
Practice Address - Fax:315-261-6490
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2014-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY024624-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist