| Doctor Name: | MR. ELLIOTT CAPONETTI |
| NPI Number: | 1083015127 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPT |
| License Number: | PT023860 |
| Business Practice Address: | 341 10th Ave Suite 101 Royersford, PA - 194683807 |
| Business Phone Number: | 6107928100 |
| Business Fax Number: | 6107921535 |
| Mailing Address: | 120 W Germantown Pike, Suite 100 PLYMOUTH MEETING |
| State: | PA |
| Postal Code: | 194621420 |
| Phone Number: | 6102700370 |
| Fax Number: | 6102700374 |
| NPI Enumeration Date: | 09/09/2014 |
| NPI Last Update Date: | 09/09/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | PT023860 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |