Brandon Wayne Divan, DPT, PT

NPI #1790332807 in Belton, Missouri

Provider Information

NPI Number
1790332807
Entity Type
Individual
Name
Brandon Wayne Divan, DPT, PT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
DPT, PT
Enumeration Date
Aug 22, 2019
Last Updated
Oct 6, 2022

Practice Location

Address
17134 BEL RAY PL
City
Belton
ZIP Code
64012-5331
Phone
(816) 318-0434

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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