Doctor Name: | ROY CAPELLARO |
NPI Number: | 1275709008 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | 40QA00457100 |
Business Practice Address: | 11 New St Englewood Cliffs, NJ - 076322938 |
Business Phone Number: | 2018168333 |
Business Fax Number: | 2018161838 |
Mailing Address: | 11 New St, ENGLEWOOD CLIFFS |
State: | NJ |
Postal Code: | 076322938 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/01/2008 |
NPI Last Update Date: | 05/01/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 40QA00457100 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |