Organization
SACRED HEART UNIVERSITY, INC
Active
Other names
Sacred Heart University Physical Therapy Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR VAUGHAN PT, DPT, MS, OCS (DIRECTOR)
(203) 396-8181
Entity
Organization
Contact information
Practice address
5151 PARK AVE, FAIRFIELD, CT 06825-1090
(203) 396-8181
(203) 396-8137
Mailing address
5151 PARK AVE, FAIRFIELD, CT 06825-1090
(203) 396-8181
(203) 396-8137
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002058
CT
Other
Enumeration date
08/10/2012
Last updated
08/10/2012
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