Provider Demographics
NPI:1912026477
Name:STRICTLY PEDIATRICS, INC.
Entity Type:Organization
Organization Name:STRICTLY PEDIATRICS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:S
Authorized Official - Last Name:RAGSDALE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-439-0800
Mailing Address - Street 1:56 WORTHINGTON ACCESS DR
Mailing Address - Street 2:
Mailing Address - City:MARYLAND HEIGHTS
Mailing Address - State:MO
Mailing Address - Zip Code:63043-3806
Mailing Address - Country:US
Mailing Address - Phone:314-439-0800
Mailing Address - Fax:314-439-0801
Practice Address - Street 1:56 WORTHINGTON ACCESS DR
Practice Address - Street 2:
Practice Address - City:MARYLAND HEIGHTS
Practice Address - State:MO
Practice Address - Zip Code:63043-3806
Practice Address - Country:US
Practice Address - Phone:314-439-0800
Practice Address - Fax:314-439-0801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO296-15225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty