Johnson, Deante M

Johnson, Deante M is an individual health care provider with primary practice located at 3532 Alameda De Las Pulgas , Menlo Park CA 94025-6510. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Johnson, Deante M can be contacted via phone (650) 561-9589.

Contact Information

Primary practice address
3532 Alameda De Las Pulgas Menlo Park CA 94025-6510
Phone: (650) 561-9589
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 49202 California

Profile Details

NPI number 1952803421
LBN Legal business name Johnson, Deante M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2018
Last updated Mar 1st, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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