Provider Demographics
NPI:1093564262
Name:BRIGHT, EMMA EILEEN
Entity type:Individual
Prefix:
First Name:EMMA
Middle Name:EILEEN
Last Name:BRIGHT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:658 S WILLIAMS RD
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:IN
Mailing Address - Zip Code:46041-2650
Mailing Address - Country:US
Mailing Address - Phone:765-426-0971
Mailing Address - Fax:
Practice Address - Street 1:658 S WILLIAMS RD
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:IN
Practice Address - Zip Code:46041-2650
Practice Address - Country:US
Practice Address - Phone:765-426-0971
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-18
Last Update Date:2024-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist