Healthcare Provider Details

I. General information

NPI: 1952242984
Provider Name (Legal Business Name): COURTNEY MASKER OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2026
Last Update Date: 04/03/2026
Certification Date: 04/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4200 SUN N LAKE BLVD
SEBRING FL
33872-1986
US

IV. Provider business mailing address

618 PARK AVE
PORT MONMOUTH NJ
07758-1617
US

V. Phone/Fax

Practice location:
  • Phone: 863-314-4466
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number27007
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: