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

Pablo Mleziva, PHYSICALTHERAPIST

Individual provider Physical Therapist · NPI 1104015437

Pablo Mleziva, PHYSICALTHERAPIST is a Physical Therapist in Grand Terrace, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007

Practice location Address checks out

12139 Mount Vernon Ave Ste 110
Grand Terrace, CA 92313-5500
Phone: (909) 370-3396
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 33597 (CA)

Record details

NPI number1104015437
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICALTHERAPIST
Sole proprietorYes
NPI enumeratedOctober 23, 2007
Last updated in NPPESOctober 23, 2007
Mailing address33410 Wallace Way, Yucaipa, CA 92399-3488

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