# RELIANT THERAPY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629719943
- **Authorized official:** MR. OLUGBOLAHAN JOSHUA ANIFOWOSE PHYSICAL THERAPIST (PHYSICAL THERAPIST)
- **Authorized official phone:** (973) 336-4599

## Contact information

- **Practice address:** 12113 LONG LAKE DR, OWINGS MILLS, MD 21117-1242
- **Practice address phone:** (973) 336-4599
- **Mailing address:** 12113 LONG LAKE DR, OWINGS MILLS, MD 21117-1242
- **Mailing address phone:** (973) 336-4599

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/02/2022
- **Last updated:** 04/02/2022