NPI 1679650048 · live from the CMS NPI Registry
Mona Hibbert Agamez, OTR/L
Occupational Therapist in Bountiful, UT. National Provider Identifier 1679650048, active.
NPI record
| NPI | 1679650048 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Occupational Therapist 225X00000X |
| Practice location | 90 W 500 S # 315, Bountiful, UT 84010 |
| Practice phone | 702-499-3841 |
| Enumerated | November 1, 2006 |
| Last updated | July 9, 2013 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapist primary | 225X00000X | 0470 (NV) |
| Occupational Therapist, Pediatrics | 225XP0200X | 0470 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.