| Doctor Name: | ANTOINETTE HAMIDIAN |
| NPI Number: | 1417931601 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | SLP |
| License Number: | SL005220 L |
| Business Practice Address: | 851 Commerce Blvd Suite 107 Dickson City, PA - 185191677 |
| Business Phone Number: | 5704895561 |
| Business Fax Number: | 5704895563 |
| Mailing Address: | 851 Commerce Blvd, Suite 107 DICKSON CITY |
| State: | PA |
| Postal Code: | 185191677 |
| Phone Number: | 5704895561 |
| Fax Number: | 5704895563 |
| NPI Enumeration Date: | 12/01/2005 |
| NPI Last Update Date: | 04/01/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225400000X |
| License Number: | SL005220 L |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Rehabilitation Practitioner |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |