Healthcare Provider Details

I. General information

NPI: 1063588523
Provider Name (Legal Business Name): FRAN STORY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/28/2006
Last Update Date: 07/01/2025
Certification Date: 07/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2865 LOGAN AVE
SAN DIEGO CA
92113-2411
US

IV. Provider business mailing address

2865 LOGAN AVE
SAN DIEGO CA
92113-2411
US

V. Phone/Fax

Practice location:
  • Phone: 619-232-4357
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: