Individual
MR. OLUGBOLAHAN ANIFOWOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
669 WILBUR SQ, OWINGS MILLS, MD 21117-2479
(973) 336-4599
Mailing address
669 WILBUR SQ, OWINGS MILLS, MD 21117-2479
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
26228
MD
Other
Enumeration date
04/23/2017
Last updated
04/23/2017
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