IndividualActive
Mary Sutton Leavy, CTRS
NPI 1104091339 · Recreation Therapist · Northport, NY
Provider details
- NPI number
- 1104091339
- Entity type
- Individual
- Primary specialty
- Recreation TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- CTRS
- Sex
- Female
- Sole proprietor
- No
Mailing address
79 Middleville Road
Northport, NY 11768
Registry dates
- Enumerated
- 2008-04-29
- Last updated
- 2008-04-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.