MEDICARE: MR. THOMAS EVANS LASTER OTR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	OT 14333	FL

General Provider Information

NPI Number	:	1275878928
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. THOMAS EVANS LASTER OTR

Provider Business Mailing Address
First Line	:	5912 OKEECHOBEE BLVD
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33417-4324
Country	:	US
Telephone Number	:	561-697-8800
Fax Number	:	561-697-3372

Provider Business Practice Location Address
First Line	:	5912 OKEECHOBEE BLVD
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33417-4324
Country	:	US
Telephone Number	:	561-697-8800
Fax Number	:	561-697-3372

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/06/2012
Last Update Date	:	03/22/2026

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