Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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William Tyler Broome, COTA/L

Individual provider Occupational Therapy Assistant · NPI 1326540022

William Tyler Broome, COTA/L is an Occupational Therapy Assistant in Myrtle Beach, South Carolina. Practices as a sole proprietor. Licensed in South Carolina.

Licensed in
SC
In the registry since
2018
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

101 Brightwater Dr
Myrtle Beach, SC 29579-8275
Phone: (843) 903-8300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 4794 (SC)

Record details

NPI number1326540022
Entity typeIndividual (Type 1)
GenderMale
Credentials COTA/L
Sole proprietorYes
NPI enumeratedMarch 8, 2018
Last updated in NPPESMarch 8, 2018

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