Individual
JENNIFER CAUTHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
3501 W. E. KNIGHT DRIVE, FORT SMITH, AR 72903
(479) 709-7000
(479) 709-7051
Mailing address
P.O. BOX 11230, FORT SMITH, AR 72917-1230
(479) 709-7000
(479) 709-7051
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2676
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5X485
AR BC/BS
AR
Enumeration date
05/18/2006
Last updated
07/08/2007
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