Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Deric Lecharles Holloway, COTA/L

Individual provider Occupational Therapy Assistant · NPI 1942732540

Mr. Deric Lecharles Holloway, COTA/L is an Occupational Therapy Assistant in Brewster, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2017
What do these letters mean?
COTA/L — Certified Occupational Therapy Assistant, Licensed
An occupational therapy assistant who is both certified and state licensed.

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Practice location Address checks out

95 Tonetta Lake Way
Brewster, NY 10509-2915
Phone: (914) 325-7197
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 008563 (NY)

Record details

NPI number1942732540
Entity typeIndividual (Type 1)
GenderMale
Credentials COTA/L
Sole proprietorYes
NPI enumeratedApril 1, 2017
Last updated in NPPESApril 1, 2017

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