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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PABLO MLEZIVA, PHYSICAL THERAPIST

Active Sole Proprietor

PABLO MLEZIVA, PHYSICAL THERAPIST is a Physical Therapy Assistant healthcare provider located in GRAND TERRACE, California. NPI 1104015437 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · GRAND TERRACE, CA

Registration Details

NPI Number
1104015437
Provider Type
Individual
Gender
Male
NPI Issued
Oct 23, 2007 (18.791240322943 yrs)
Last Updated
Oct 23, 2007
License
33597 (CA)
Sole Proprietor
Yes

Practice Information

Address
12139 MOUNT VERNON AVE STE 110
GRAND TERRACE, CA, 923135500
Browse CA providers · Browse ZIP 92313
Phone
9093703396
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in GRAND TERRACE, CA

Name Credential NPI
CHEONG KIM PT 1225072911
CHRISTIAN HERNANDEZ ANIAG DPT 1275721995
ERIC JOHNSON 1720263304
MR. RICHARD CHARLES ORTIZ PT 1386957413
MYUNGJIN KIM P.T. 1578861399
STEPHEN TENG PT 1659626240
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.