# SACRED HEART UNIVERSITY, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sacred Heart University Physical Therapy Specialists
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154678928
- **Authorized official:** VICTOR VAUGHAN PT, DPT, MS, OCS (DIRECTOR)
- **Authorized official phone:** (203) 396-8181

## Contact information

- **Practice address:** 5151 PARK AVE, FAIRFIELD, CT 06825-1090
- **Practice address phone:** (203) 396-8181
- **Practice address fax:** (203) 396-8137
- **Mailing address:** 5151 PARK AVE, FAIRFIELD, CT 06825-1090
- **Mailing address phone:** (203) 396-8181
- **Mailing address fax:** (203) 396-8137

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 002058 | CT | Yes |

## Other

- **Enumeration date:** 08/10/2012
- **Last updated:** 08/10/2012