Individual
DEANZLO JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2916
(202) 476-3086
Mailing address
11905 VAN BRADY RD, UPPER MARLBORO, MD 20772-7927
(202) 486-6928
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
DC
374U00000X
Home Health Aide
Primary
—
DC
Other
Enumeration date
10/30/2018
Last updated
01/26/2026
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