Provider Demographics
NPI:1184964983
Name:HOAG CRAFTON, ABIGAIL K (OTR)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:K
Last Name:HOAG CRAFTON
Suffix:
Gender:
Credentials:OTR
Other - Prefix:
Other - First Name:ABIGAIL
Other - Middle Name:K
Other - Last Name:HOAG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTRL
Mailing Address - Street 1:3900 LYNNE AVE
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73012-5029
Mailing Address - Country:US
Mailing Address - Phone:205-535-0345
Mailing Address - Fax:205-535-0345
Practice Address - Street 1:13819 QUAIL POINTE DR
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73134-1066
Practice Address - Country:US
Practice Address - Phone:405-467-6782
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-15
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3251225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist