NPI 1104091339

Mary Bernadette Sutton Leavy, CTRS

Practitioner Recreation Therapist Northport, NY

Practice location

Address: 79 Middleville Rd, Northport, NY 11768-2200
Phone: (631) 261-4400
Mailing address: 79 Middleville Road, Northport, NY 11768

Registered specialties

Recreation Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225800000X

Other Recreation Therapist providers in New York →

Registry record

NPI: 1104091339
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Apr 2008
Record last updated: 29 Apr 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.