VIVIAN WALLACE

SAN FRANCISCO, CA
NPI1669630992
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: CA  at2718)
Enumeration Date2008-05-22
Last Update Date2008-05-22
Business Address
Ms. VIVIAN WALLACE PTA
1575 7TH AVE
SAN FRANCISCO, CA 94122-3704
Phone number: 415-566-1200
Mailing Address
Ms. VIVIAN WALLACE PTA
767 CHESTNUT AVE
SAN BRUNO, CA 94066-3323
Phone number: