Organization
INCLUDED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AISLINN CLARE MCKEOWN MS, OTR/L (CLINICAL COORDINATOR)
(203) 543-2994
Entity
Organization
Contact information
Practice address
4761 CASS ST, SAN DIEGO, CA 92109-2604
(203) 543-2994
Mailing address
4761 CASS ST, SAN DIEGO, CA 92109-2604
(203) 543-2994
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
09/12/2025
Last updated
09/12/2025
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