Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Omnispine Chiropractic & Rehab Clinic PC

Organization Chiropractor · NPI 1518409804

Omnispine Chiropractic & Rehab Clinic PC is a Chiropractor in Fairfax, Virginia. Licensed in Virginia. Registered with an NPI since 2016.

Licensed in
VA
In the registry since
2016
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3930 Walnut St Ste 220
Fairfax, VA 22030-4738
Phone: (703) 865-5899
Fax: (703) 865-6199
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 0104557024 (VA)

Record details

NPI number1518409804
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chang Ha Lee — President · (703) 865-5899
NPI enumeratedNovember 17, 2016
Last updated in NPPESNovember 17, 2016
Mailing address3930 Walnut St, Suite 220, Fairfax, VA 22030-4738

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