Individual provider · Type 1 NPI

Vivian Wallace, PTA

Physical Therapy Assistant · San Francisco, CA

NPI number 1669630992 Active

Practice location

1575 7th Ave
San Francisco, CA 94122-3704

Call (415) 566-1200 Map

Mailing address

767 Chestnut Ave
San Bruno, CA 94066-3323

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XAT2718 (CA)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1669630992

Vivian Wallace, PTA's National Provider Identifier is 1669630992, issued on May 22, 2008. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in San Francisco, CA. The record was last updated on May 22, 2008.