Omnispine Chiropractic & Rehab Clinic PC

NPI #1518409804 in Fairfax, Virginia

Provider Information

NPI Number: 1518409804
Entity Type: Organization
Organization Name: Omnispine Chiropractic & Rehab Clinic PC
Primary Specialty: Chiropractor
Enumeration Date: Nov 17, 2016
Last Updated: Nov 17, 2016

Practice Location

Address: 3930 WALNUT ST
Address 2: SUITE 220
City: Fairfax
State: Virginia
ZIP Code: 22030-4738
Phone: (703) 865-5899

Authorized Official

Name: DR. CHANG HA LEE, D.C.
Title: PRESIDENT
Phone: (703) 865-5899

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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