Search › New York › 224Z00000X
Deric Holloway, COTA/L
NPI 1942732540 · on the registry since 2017 · sole proprietor
Practice
- Address
- 95 Tonetta Lake Way
Brewster, NY 10509 - Phone
- (914) 325-7197
Registry record
- Primary taxonomy
- 224Z00000X
224Z00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-04-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York