Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Marlo Camille Broyles, OTR/L

Individual provider Occupational Therapist · NPI 1780980920

Mrs. Marlo Camille Broyles, OTR/L is an Occupational Therapist in Private Practice in Wilmington, North Carolina. Qualified in 2016, 10 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
10
Licensed in
NC
In the registry since
2011
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

1120 Medical Center Dr
Wilmington, NC 28401-7305
Phone: (910) 756-3447
Fax: (317) 520-8200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 306 Silkweed Ct, Wilmington, NC 28405-2538 — (910) 322-4249

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 10686 (NC)

Record details

NPI number1780980920
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedFebruary 6, 2011
Last updated in NPPESJuly 6, 2026
Certification dateJuly 6, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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