Healthcare Provider Details

I. General information

NPI: 1184964983
Provider Name (Legal Business Name): ABIGAIL K HOAG CRAFTON OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ABIGAIL K HOAG OTRL

II. Dates (important events)

Enumeration Date: 02/15/2013
Last Update Date: 06/10/2025
Certification Date: 06/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14001 MCAULEY BLVD STE 170
OKLAHOMA CITY OK
73134-7006
US

IV. Provider business mailing address

3900 LYNNE AVE
EDMOND OK
73012-5029
US

V. Phone/Fax

Practice location:
  • Phone: 405-467-6782
  • Fax:
Mailing address:
  • Phone: 205-535-0345
  • Fax: 205-535-0345

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number3251
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number6108
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: