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 Date2024-03-01
Business Address
HEADWATERS RESTORATION THERAPY LLC
4000 THAYER CTR
OAKLAND, MD 21550-1138
Phone number: 240-321-9961
Mailing Address
HEADWATERS RESTORATION THERAPY LLC
3601 UNDERWOOD RD
OAKLAND, MD 21550-2116
Phone number: 240-321-9961
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