TIMOTHY J DEMCHAK

TERRE HAUTE, IN
NPI1497869754
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: IN  36001072A)
Enumeration Date2006-08-17
Last Update Date2007-07-08
Business Address
-- TIMOTHY J DEMCHAK LAT, ATC
2 W LAWRIN BLVD
TERRE HAUTE, IN 47803-2070
Phone number: 812-877-3633
Mailing Address
-- TIMOTHY J DEMCHAK LAT, ATC
2 W LAWRIN BLVD
TERRE HAUTE, IN 47803-2070
Phone number: 812-877-3633