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

Individual provider Rehabilitation Practitioner · NPI 1912718370

Corey Renee Bryan is a Rehabilitation Practitioner in San Jose, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2025
Specialties on file
3
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Practice location Address checks out

425 E Santa Clara St
San Jose, CA 95113-1936
Phone: (669) 245-3428
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X (CA)
Case Manager/Care Coordinator Taxonomy 171M00000X
Peer Specialist Taxonomy 175T00000X

Record details

NPI number1912718370
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 15, 2025
Last updated in NPPESDecember 5, 2025
Certification dateDecember 5, 2025

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