Individual
JOAN BRADY WIKHOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
622 HEBRON AVE STE 200, GLASTONBURY, CT 06033-5003
(860) 589-2645
(860) 200-3273
Mailing address
622 HEBRON AVE STE 200, GLASTONBURY, CT 06033-5003
(860) 589-2645
(860) 200-3273
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004208
CT
Other
Enumeration date
10/19/2020
Last updated
10/19/2020
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