Provider Demographics
NPI:1114182623
Name:HUNT, ROBERT MANTON (PEER-CERTIFIED PEER)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:MANTON
Last Name:HUNT
Suffix:
Gender:M
Credentials:PEER-CERTIFIED PEER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:511 N BROOKHURST ST STE 200
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92801-5229
Mailing Address - Country:US
Mailing Address - Phone:714-780-0750
Mailing Address - Fax:714-780-0757
Practice Address - Street 1:511 N BROOKHURST ST STE 200
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92801-5229
Practice Address - Country:US
Practice Address - Phone:714-780-0750
Practice Address - Fax:714-780-0757
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-23
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist
No225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner