Provider Demographics
NPI:1437447232
Name:APATOCZKY, DYLAN T (PT)
Entity Type:Individual
Prefix:
First Name:DYLAN
Middle Name:T
Last Name:APATOCZKY
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:DYLAN
Other - Middle Name:T
Other - Last Name:BRILLHART
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:550 PINETOWN RD
Mailing Address - Street 2:
Mailing Address - City:FORT WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:19034
Mailing Address - Country:US
Mailing Address - Phone:610-254-7670
Mailing Address - Fax:888-695-4686
Practice Address - Street 1:7 CARNEGIE PLZ
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08003-1000
Practice Address - Country:US
Practice Address - Phone:877-407-3422
Practice Address - Fax:877-407-4329
Is Sole Proprietor?:No
Enumeration Date:2011-07-13
Last Update Date:2017-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT019613225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist