# ACTIVBODY PHYSICAL THERAPY INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114950557
- **Authorized official:** MR. PAUL H. HASENYAGER RPT (DIRECTOR/OWNER)
- **Authorized official phone:** (714) 960-7995

## Contact information

- **Practice address:** 19531 BEACH BLVD, HUNTINGTON BEACH, CA 92648-2902
- **Practice address phone:** (714) 960-7995
- **Practice address fax:** (714) 960-1884
- **Mailing address:** 19531 BEACH BLVD, HUNTINGTON BEACH, CA 92648-2902
- **Mailing address phone:** (714) 960-7995
- **Mailing address fax:** (714) 960-1884

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | PT13708 | CA | Yes |

## Other

- **Enumeration date:** 07/09/2006
- **Last updated:** 05/13/2009