Healthcare Provider Details

I. General information

NPI: 1730735648
Provider Name (Legal Business Name): CAROLINE ASHTON FRUEHAUF-SAUNIER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/15/2019
Last Update Date: 10/09/2024
Certification Date: 10/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

916 GOBLIN DR
HARRISON AR
72601-8885
US

IV. Provider business mailing address

PO BOX 144
SAINT JOE AR
72675-0144
US

V. Phone/Fax

Practice location:
  • Phone: 870-654-3869
  • Fax: 870-505-2016
Mailing address:
  • Phone: 870-688-9294
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number4451
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: