Provider Demographics
NPI:1891887980
Name:HAGAN-RITZ, HELEN SCOTT (PT)
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:SCOTT
Last Name:HAGAN-RITZ
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:71 OAKS LANE
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:VA
Mailing Address - Zip Code:22727
Mailing Address - Country:US
Mailing Address - Phone:540-948-3424
Mailing Address - Fax:540-829-0937
Practice Address - Street 1:663 SUNSET LANE
Practice Address - Street 2:
Practice Address - City:CULPEPER
Practice Address - State:VA
Practice Address - Zip Code:22701
Practice Address - Country:US
Practice Address - Phone:540-825-5368
Practice Address - Fax:540-829-0937
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305002311225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA040812OtherANTHEM BC/BS
VA294914OtherMAMSI
VA7536528OtherAETNA