Individual
ALEXA LYNNE FISTEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
1140 W 50TH ST STE 303, HIALEAH, FL 33012-3411
(305) 231-3371
Mailing address
15132 SW 141ST TER, MIAMI, FL 33196-4692
(305) 305-3742
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
21802
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21802
NBCOT CERTIFICATION NUMBER
FL
Enumeration date
04/08/2021
Last updated
10/18/2022
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