MEDICARE: ABIGAIL K HOAG CRAFTON OTR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	3251	AL
2	225X00000X	Occupational Therapist	6108	OK

General Provider Information

NPI Number	:	1184964983
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABIGAIL K HOAG CRAFTON OTR

Provider Business Mailing Address
First Line	:	3900 LYNNE AVE
Second Line	:
City	:	EDMOND
State	:	OK
Zip	:	73012-5029
Country	:	US
Telephone Number	:	205-535-0345
Fax Number	:	205-535-0345

Provider Business Practice Location Address
First Line	:	14001 MCAULEY BLVD STE 170
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73134-7006
Country	:	US
Telephone Number	:	405-467-6782
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/15/2013
Last Update Date	:	06/10/2025

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