Organization
HEADWATERS RESTORATION THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAYLOR RYAN CRABTREE CRNP (PROVIDER)
(304) 777-7467
Entity
Organization
Contact information
Practice address
14689 GARRETT HWY STE 3, OAKLAND, MD 21550-4059
(301) 859-7178
(240) 270-5229
Mailing address
14689 GARRETT HWY, OAKLAND, MD 21550-4059
(301) 859-7178
(240) 270-5229
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/29/2023
Last updated
01/12/2026
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