Mr. Olugbolahan Anifowose
Mr. Olugbolahan Anifowose is a Physical Therapist in Private Practice in Owings Mills, Maryland. Qualified in 2006, 20 years ago. Practices with Prime Light Health Services, a 6-clinician group and accepts Medicare assignment. Licensed in Maryland.
- Years since qualifying
- 20
- Licensed in
- MD
- In the registry since
- 2017
Practice location Address checks out
669 Wilbur SqOwings Mills, MD 21117-2479
Phone: (973) 336-4599
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Geriatric Physical Therapist (primary) | Taxonomy 2251G0304X · Licence 26228 (MD) |
|---|
Record details
| NPI number | 1740715168 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 23, 2017 |
| Last updated in NPPES | April 23, 2017 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2006 (20 years in practice) |
| Group practice | Prime Light Health Services — 6 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |