Provider Demographics
NPI:1841416914
Name:OVERSTEG, MONA DARLENE (OTR)
Entity Type:Individual
Prefix:
First Name:MONA
Middle Name:DARLENE
Last Name:OVERSTEG
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1771 DOXEY ST
Mailing Address - Street 2:
Mailing Address - City:OGDEN
Mailing Address - State:UT
Mailing Address - Zip Code:84403-0523
Mailing Address - Country:US
Mailing Address - Phone:801-564-8330
Mailing Address - Fax:
Practice Address - Street 1:1771 DOXEY ST
Practice Address - Street 2:
Practice Address - City:OGDEN
Practice Address - State:UT
Practice Address - Zip Code:84403-0523
Practice Address - Country:US
Practice Address - Phone:801-564-8330
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2023-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT1050964201225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist