Provider Demographics
NPI:1528698818
Name:BATEMAN, ALAENA (OTR/L)
Entity type:Individual
Prefix:
First Name:ALAENA
Middle Name:
Last Name:BATEMAN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 876106
Mailing Address - Street 2:
Mailing Address - City:WASILLA
Mailing Address - State:AK
Mailing Address - Zip Code:99687-6106
Mailing Address - Country:US
Mailing Address - Phone:907-312-5344
Mailing Address - Fax:907-531-3246
Practice Address - Street 1:2610 MCRAE RD UNIT A
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99517-2509
Practice Address - Country:US
Practice Address - Phone:907-312-5344
Practice Address - Fax:907-531-3246
Is Sole Proprietor?:No
Enumeration Date:2020-01-25
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK155482225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist