Search › Missouri › 225100000X
Brandon Divan, DPT, PT
NPI 1790332807 · on the registry since 2019
Practice
- Address
- 17134 Bel Ray Pl
Belton, MO 64012 - Phone
- (816) 318-0434
- Fax
- (816) 318-0437
- Organisation at this address
- Serc Hand Of Cass County Llc
Serc Hand Of Cass County L.L.C.
Serc Rehabilitation Partners Llc
Serc Rehabilitation Partners, Llc
Serc Rehabilitation Partners, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 20
Additional practice sites
- 517 E North St, Bradley, IL
- 341 S Main St, Clifton, IL
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Also registered as
- 225100000X
- Licence states on file
- IL, MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-10-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri