Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Angela Impson, LOTR

Individual provider Occupational Therapist · NPI 1083214837

Angela Impson, LOTR is an Occupational Therapist in Private Practice in Shreveport, Louisiana. Qualified in 2016, 10 years ago. Licensed in Louisiana.

Years since qualifying
10
Licensed in
LA
In the registry since
2020
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Practice location Address checks out

8039 Line Ave Ste 1B
Shreveport, LA 71106-5145
Phone: (318) 861-1965
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 303345 (LA)

Record details

NPI number1083214837
Entity typeIndividual (Type 1)
GenderFemale
Credentials LOTR
Sole proprietorNo
NPI enumeratedOctober 30, 2020
Last updated in NPPESOctober 30, 2020
Certification dateOctober 30, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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