Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Vivian Wallace, PTA

Individual provider Physical Therapy Assistant · NPI 1669630992

MS. Vivian Wallace, PTA is a Physical Therapy Assistant in San Francisco, California. Licensed in California. Registered with an NPI since 2008.

Licensed in
CA
In the registry since
2008
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

1575 7th Ave
San Francisco, CA 94122-3704
Phone: (415) 566-1200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence AT2718 (CA)

Record details

NPI number1669630992
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedMay 22, 2008
Last updated in NPPESMay 22, 2008

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