Provider Demographics
NPI:1730735648
Name:FRUEHAUF-SAUNIER, CAROLINE ASHTON
Entity type:Individual
Prefix:
First Name:CAROLINE
Middle Name:ASHTON
Last Name:FRUEHAUF-SAUNIER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 144
Mailing Address - Street 2:
Mailing Address - City:SAINT JOE
Mailing Address - State:AR
Mailing Address - Zip Code:72675-0144
Mailing Address - Country:US
Mailing Address - Phone:870-688-9294
Mailing Address - Fax:
Practice Address - Street 1:916 GOBLIN DR
Practice Address - Street 2:
Practice Address - City:HARRISON
Practice Address - State:AR
Practice Address - Zip Code:72601-8885
Practice Address - Country:US
Practice Address - Phone:870-654-3869
Practice Address - Fax:870-505-2016
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-15
Last Update Date:2024-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR4451225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant