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 Date2026-01-04
Business Address
HEADWATERS RESTORATION THERAPY LLC
4000 THAYER CTR
OAKLAND, MD 21550-1138
Phone number: 240-321-9961
Mailing Address
HEADWATERS RESTORATION THERAPY LLC
14689 GARRETT HWY
OAKLAND, MD 21550-4059
Phone number: 301-859-7178