Provider Demographics
NPI:1851680334
Name:SHERIFF, CHANDRA MICHELLE3 (COTA)
Entity Type:Individual
Prefix:
First Name:CHANDRA
Middle Name:MICHELLE3
Last Name:SHERIFF
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3400 E BAYAUD AVE
Mailing Address - Street 2:#290
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80209-2926
Mailing Address - Country:US
Mailing Address - Phone:303-322-8300
Mailing Address - Fax:
Practice Address - Street 1:3400 E BAYAUD AVE
Practice Address - Street 2:#290
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80209-2926
Practice Address - Country:US
Practice Address - Phone:303-322-8300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-05
Last Update Date:2011-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant