Individual
AISLINN MCKEOWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
6264 FERRIS SQ, SAN DIEGO, CA 92121-3204
(619) 940-4128
Mailing address
4092 RIVIERA DR UNIT 1, SAN DIEGO, CA 92109-5370
(203) 543-2994
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
22093
CA
225X00000X
Occupational Therapist
22093
CT
Other
Enumeration date
04/08/2021
Last updated
04/17/2021
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