Healthcare Provider Details

I. General information

NPI: 1821512039
Provider Name (Legal Business Name): CHRISTOPHER DILULLO DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2017
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 FLORAL VALE BLVD
MORRISVILLE PA
19067-5522
US

IV. Provider business mailing address

103 FLORAL VALE BLVD
YARDLEY PA
19067-5522
US

V. Phone/Fax

Practice location:
  • Phone: 215-860-4270
  • Fax:
Mailing address:
  • Phone: 215-860-4270
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License NumberPT026222
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: