| Doctor Name: | RICHARD S HAGEMAN |
| NPI Number: | 1699762278 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 17767 |
| Business Practice Address: | 22715 Washington Street Leonardtown, MD - 20650 |
| Business Phone Number: | 3019970172 |
| Business Fax Number: | 3019970175 |
| Mailing Address: | 10 Saint Patricks Dr, Suite 401 WALDORF |
| State: | MD |
| Postal Code: | 206034527 |
| Phone Number: | 3018707366 |
| Fax Number: | 3018706717 |
| NPI Enumeration Date: | 09/29/2005 |
| NPI Last Update Date: | 12/17/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 17767 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |