Provider Demographics
NPI:1306293196
Name:POFF, ALAINA (OT)
Entity type:Individual
Prefix:
First Name:ALAINA
Middle Name:
Last Name:POFF
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:ALAINA
Other - Middle Name:
Other - Last Name:SEEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10014 NORTH RODNEY PARHAM
Mailing Address - Street 2:SUITE 103
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72227
Mailing Address - Country:US
Mailing Address - Phone:501-224-5454
Mailing Address - Fax:501-224-5460
Practice Address - Street 1:2504 MCCAIN BLVD
Practice Address - Street 2:SUITE 230
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72116
Practice Address - Country:US
Practice Address - Phone:501-758-5555
Practice Address - Fax:501-758-5941
Is Sole Proprietor?:No
Enumeration Date:2016-05-21
Last Update Date:2022-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AROTR3651225X00000X
171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No171M00000XOther Service ProvidersCase Manager/Care Coordinator