JORDAN DELLAMANO

SAINT LOUIS, MO
NPI1043635063
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MO  2015014052)
Additional Taxonomies225100000X Physical Therapist
(Licence: IL  070020566)
Enumeration Date2014-02-27
Last Update Date2016-09-01
Business Address
-- JORDAN DELLAMANO PT
201 N 7TH ST
SAINT LOUIS, MO 63101-2304
Phone number: 314-678-1008
Mailing Address
-- JORDAN DELLAMANO PT
625 ENTERPRISE DR
OAK BROOK, IL 60523-8813
Phone number: 630-575-1980