| Doctor Name: | JORDAN DELLAMANO |
| NPI Number: | 1043635063 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | 070022566 |
| Business Practice Address: | 916 Talon Dr Suite 102 O Fallon, IL - 622691848 |
| Business Phone Number: | 6186288211 |
| Business Fax Number: | 6186280883 |
| Mailing Address: | 25 Westbrooke, TROY |
| State: | IL |
| Postal Code: | 622942461 |
| Phone Number: | 6187928907 |
| Fax Number: | |
| NPI Enumeration Date: | 02/27/2014 |
| NPI Last Update Date: | 06/19/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 070022566 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |