Bryce Antonel
Rehabilitation Practitioner in San Jose, CA. Individual provider (NPI-1).
NPI number1891237509
StatusActive
Last updated in NPPESJun 19, 2025
Details
- NPI
- 1891237509
- Entity type
- Individual (NPI-1)
- Name
- Bryce Antonel
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 11, 2016
- Certification date
- Jun 19, 2025
- Last updated
- Jun 19, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225400000X | Rehabilitation Practitioner | – | – | Yes |
| 171M00000X | Case Manager/Care Coordinator | – | – |
Practice location
232 E Gish RdSan Jose, CA 95112-4706
Phone 408-876-4284
Mailing address
232 E Gish RdSan Jose, CA 95112-4706
Phone 408-876-4284
Other practice locations
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