HEADWATERS RESTORATION THERAPY LLC

OAKLAND, MD
NPI1154197283
Entity TypeOrganization
Authorized ContactTAYLOR RYAN CRABTREE
Provider
304-777-7467
Organization Subpart ?No
Primary Taxonomy363L00000X Nurse Practitioner
Enumeration Date2023-11-29
Last Update Date2026-01-12
Business Address
HEADWATERS RESTORATION THERAPY LLC
14689 GARRETT HWY STE 3
OAKLAND, MD 21550-4059
Phone number: 301-859-7178
Mailing Address
HEADWATERS RESTORATION THERAPY LLC
14689 GARRETT HWY
OAKLAND, MD 21550-4059
Phone number: 301-859-7178
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