Provider Profile

Vivian R. Wallace, PTA

Unclaimed Profile

About Vivian Wallace

Vivian R. Wallace, PTA is a physical therapist assistant practicing in San Bruno, CA. This provider record is associated with NPI 97202000002718.

Factual summary compiled by Guide.md from public records; not written by this provider.

Specialty

Physical Therapist Assistant (Primary)

Credentials & Licensing

CA · Physical Therapist AssistantPhysical Therapy Board of California
No. 2718CurrentExpires May 2027Since 1992
NPINone on record
Licence-only provider

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Common questions

What kind of doctor is Vivian R. Wallace?

Vivian R. Wallace is a physical therapist assistant in San Bruno, CA. That is the designation recorded for this NPI in the federal registry.

NPI registry

What is Vivian R. Wallace's address?

Vivian R. Wallace is listed at San Bruno, CA 94066. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Vivian R. Wallace's NPI number?

Vivian R. Wallace's National Provider Identifier is 97202000002718. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Has Vivian R. Wallace confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Vivian R. Wallace. If this is you, claiming it is free.

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