Agamez, Mona Hibbert

Agamez, Mona Hibbert is an individual health care provider with primary practice located at 90 W 500 S # 315 , Bountiful UT 84010-6230. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is her primary health care specialty. Agamez, Mona Hibbert can be contacted via phone (702) 499-3841.

Contact Information

Primary practice address
90 W 500 S # 315 Bountiful UT 84010-6230
Phone: (702) 499-3841
Fax: (877) 296-8903
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 0470 Nevada
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 0470 Nevada

Profile Details

NPI number 1679650048
LBN Legal business name Agamez, Mona Hibbert
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Jul 9th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679650048 NPPES
Nevada MEDICAID 003402366

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