KRIS ANTONI REWALD

GOLDEN VALLEY, MN
NPI1942445390
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: MN  201196)
Enumeration Date2008-12-12
Last Update Date2008-12-12
Business Address
Mr. KRIS ANTONI REWALD COTA
7505 COUNTRY CLUB DR
GOLDEN VALLEY, MN 55427-4501
Phone number: 763-545-0416
Mailing Address
Mr. KRIS ANTONI REWALD COTA
271 OAKWOOD DR
SHOREVIEW, MN 55126-4824
Phone number: 651-484-9475
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