Individual
DEMETRA KONTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3817 COLONEL GLENN HWY, BEAVERCREEK, OH 45324-2268
(937) 427-9200
Mailing address
7591 TYLERS PLACE BLVD, WEST CHESTER, OH 45069-6308
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
COND.20201604-SP
OH
235Z00000X
Speech-Language Pathologist
Primary
SP.14708
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0406425
—
OH
Enumeration date
02/11/2021
Last updated
02/23/2022
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