Individual
BRYCE ANTONEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
232 E GISH RD, SAN JOSE, CA 95112-4706
(408) 876-4284
Mailing address
232 E GISH RD, SAN JOSE, CA 95112-4706
(408) 876-4284
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
11/11/2016
Last updated
06/19/2025
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