Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Kris Antoni Rewald, COTA

Individual provider Occupational Therapy Assistant · NPI 1942445390

Mr. Kris Antoni Rewald, COTA is an Occupational Therapy Assistant in Golden Valley, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2008
What do these letters mean?
COTA — Certified Occupational Therapy Assistant
Delivers treatment under an occupational therapist's direction.

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Practice location Address checks out

7505 Country Club Dr
Golden Valley, MN 55427-4501
Phone: (763) 545-0416
Fax: (763) 545-2016
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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 201196 (MN)

Record details

NPI number1942445390
Entity typeIndividual (Type 1)
GenderMale
Credentials COTA
Sole proprietorYes
NPI enumeratedDecember 12, 2008
Last updated in NPPESDecember 12, 2008

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