Organization
OMNISPINE CHIROPRACTIC & REHAB CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHANG HA LEE D.C. (PRESIDENT)
(703) 865-5899
Entity
Organization
Contact information
Practice address
3930 WALNUT ST, SUITE 220, FAIRFAX, VA 22030-4738
(703) 865-5899
(703) 865-6199
Mailing address
3930 WALNUT ST, SUITE 220, FAIRFAX, VA 22030-4738
(703) 865-5899
(703) 865-6199
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104557024
VA
Other
Enumeration date
11/17/2016
Last updated
11/17/2016
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