William Tyler Broome, COTA/L
NPI #1326540022 in Myrtle Beach, South Carolina
Provider Information
- NPI Number
- 1326540022
- Entity Type
- Individual
- Name
- William Tyler Broome, COTA/L
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTA/L
- Enumeration Date
- Mar 8, 2018
- Last Updated
- Mar 8, 2018
Practice Location
- Address
- 101 BRIGHTWATER DR
- City
- Myrtle Beach
- State
- South Carolina
- ZIP Code
- 29579-8275
- Phone
- (843) 903-8300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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