Headwaters Restoration Therapy LLC

NPI #1154197283 in Oakland, Maryland

Provider Information

NPI Number: 1154197283
Entity Type: Organization
Organization Name: Headwaters Restoration Therapy LLC
Primary Specialty: Nurse Practitioner
Enumeration Date: Nov 29, 2023
Last Updated: Jan 12, 2026

Practice Location

Address: 14689 GARRETT HWY STE 3
City: Oakland
State: Maryland
ZIP Code: 21550-4059
Phone: (301) 859-7178

Authorized Official

Name: TAYLOR RYAN CRABTREE, CRNP
Title: PROVIDER
Phone: (304) 777-7467

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X	Primary

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