Individual
MRS. MONA HIBBERT AGAMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
90 W 500 S # 315, BOUNTIFUL, UT 84010-6230
(702) 499-3841
(877) 296-8903
Mailing address
90 W 500 S # 315, BOUNTIFUL, UT 84010-6230
(702) 499-3841
(877) 296-8903
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0470
NV
225XP0200X
Pediatric Occupational Therapist
0470
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003402366
—
NV
Enumeration date
11/01/2006
Last updated
07/09/2013
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