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

Joan Brady Wikholm, PT

Individual provider Physical Therapist · NPI 1801495205

Joan Brady Wikholm, PT is a Physical Therapist in Glastonbury, Connecticut. Licensed in Connecticut. Registered with an NPI since 2020.

Licensed in
CT
In the registry since
2020
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

622 Hebron Ave Ste 200
Glastonbury, CT 06033-5003
Phone: (860) 589-2645
Fax: (860) 200-3273
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 004208 (CT)

Record details

NPI number1801495205
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedOctober 19, 2020
Last updated in NPPESOctober 19, 2020
Certification dateOctober 19, 2020

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