ANGELA IMPSON

SHREVEPORT, LA
NPI1083214837
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: LA  303345)
Enumeration Date2020-10-30
Last Update Date2020-10-30
Business Address
ANGELA IMPSON LOTR
8039 LINE AVE STE 1B
SHREVEPORT, LA 71106-5145
Phone number: 318-861-1965
Mailing Address
ANGELA IMPSON LOTR
3468 BEVERLY PL
SHREVEPORT, LA 71105-2022
Phone number: 318-517-4948