Wallace, Vivian

Wallace, Vivian is an individual health care provider with primary practice located at 1575 7Th Ave , San Francisco CA 94122-3704. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Wallace, Vivian can be contacted via phone (415) 566-1200.

Contact Information

Primary practice address
1575 7Th Ave San Francisco CA 94122-3704
Phone: (415) 566-1200
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X AT2718 California

Profile Details

NPI number 1669630992
LBN Legal business name Wallace, Vivian
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2008
Last updated May 22nd, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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