Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Multi-Specialty |
261QM1300X | 70 | Clinic or Group Practice | |
Acupuncturist |
171100000X | |||
Massage Therapist |
225700000X | |||
Occupational Therapist |
225X00000X | 67 | Occupational Therapist in Private Practice | |
Physical Therapist |
225100000X | 65 | Physical Therapist in Private Practice |
| NPI Number | 1720811854 |
| LBN Legal business name | G & G B2, LLC |
| Authorized official | GREGORY BETHEA - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 08/23/2024 |
| Last updated | 04/09/2025 - More than a year ago |
| Identifiers | n/a |
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