Individual
JENNIFER L BRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1630 COMMANCHE AVE, GREEN BAY, WI 54313-5753
(920) 430-4750
Mailing address
744 S WEBSTER AVE, GREEN BAY, WI 54301-3505
(920) 445-7226
(920) 445-7229
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5825
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5825-024
LICENSE
WI
Enumeration date
12/07/2005
Last updated
08/01/2019
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