Provider Demographics
NPI:1154703189
Name:FILEMU, ENJOLI PAGE (OTD, OTR/L, CPAM)
Entity type:Individual
Prefix:
First Name:ENJOLI
Middle Name:PAGE
Last Name:FILEMU
Suffix:
Gender:F
Credentials:OTD, OTR/L, CPAM
Other - Prefix:
Other - First Name:ENJOLI
Other - Middle Name:PAGE
Other - Last Name:PYBURN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTD, OTR/L, CPAM
Mailing Address - Street 1:16761 VIEWPOINT LN APT 3
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92647-4753
Mailing Address - Country:US
Mailing Address - Phone:626-755-4412
Mailing Address - Fax:
Practice Address - Street 1:16761 VIEWPOINT LN APT 3
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92647-4753
Practice Address - Country:US
Practice Address - Phone:626-755-4412
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-25
Last Update Date:2015-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10724225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist