# PROGRESSIVE PLAY PEDIATRIC THERAPY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184913386
- **Authorized official:** SUSAN PFABE-WIGGANS P.T. (PHYSICAL THERAPIST)
- **Authorized official phone:** (303) 355-0372

## Contact information

- **Practice address:** 310 GLENCOE ST, DENVER, CO 80220-5757
- **Practice address phone:** (303) 355-0372
- **Mailing address:** 310 GLENCOE ST, DENVER, CO 80220-5757
- **Mailing address phone:** (303) 355-0372

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2251P0200X | Pediatric Physical Therapist | 2827 | CO | Yes |

## Other

- **Enumeration date:** 03/29/2011
- **Last updated:** 03/29/2011