Provider Demographics
NPI:1427861152
Name:PETERSEN-HAYS, CHRISTIAN (DPT)
Entity type:Individual
Prefix:DR
First Name:CHRISTIAN
Middle Name:
Last Name:PETERSEN-HAYS
Suffix:
Gender:
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12073 LAKE CYPRESS CIR APT 202
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32828-7089
Mailing Address - Country:US
Mailing Address - Phone:818-489-0124
Mailing Address - Fax:
Practice Address - Street 1:12073 LAKE CYPRESS CIR APT 202
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32828-7089
Practice Address - Country:US
Practice Address - Phone:818-489-0124
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-28
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist