Provider Demographics
NPI:1336427160
Name:CHANDLER, JOY LYNN (COTA)
Entity Type:Individual
Prefix:MS
First Name:JOY
Middle Name:LYNN
Last Name:CHANDLER
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:MS
Other - First Name:JOY
Other - Middle Name:LYNN
Other - Last Name:TUCKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6140 S ELATI ST
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120-2739
Mailing Address - Country:US
Mailing Address - Phone:720-331-1088
Mailing Address - Fax:
Practice Address - Street 1:6140 S ELATI ST
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-2739
Practice Address - Country:US
Practice Address - Phone:720-331-1088
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-27
Last Update Date:2011-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO285294224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant