Provider Demographics
NPI:1992073944
Name:CRAIN, ROBIN GAIL (OT)
Entity type:Individual
Prefix:MS
First Name:ROBIN
Middle Name:GAIL
Last Name:CRAIN
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:606 HEATHERHILL DR
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73072-4215
Mailing Address - Country:US
Mailing Address - Phone:405-314-9522
Mailing Address - Fax:
Practice Address - Street 1:2803 24TH AVE NW
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73069-6720
Practice Address - Country:US
Practice Address - Phone:405-504-9007
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-06
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1724225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist