Healthcare Provider Details

I. General information

NPI: 1932166782
Provider Name (Legal Business Name): RACHELE PIGHIN BRANSON OTR L CHT
Entity Type: Individual
Gender: Female
Sole Proprietor: X

Provider Other Name: RACHELE ANNE PIGHIN

II. Dates (important events)

Enumeration Date: 04/26/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

575 DEKALB INDUSTRIAL WAY SUITE 103
DECATUR GA
30033
US

IV. Provider business mailing address

1776 OAK RIDGE CIRCLE
STONE MOUNTAIN GA
30087
US

V. Phone/Fax

Practice location:
  • Phone: 404-296-8511
  • Fax: 404-296-8514
Mailing address:
  • Phone: 770-985-7684
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number001087
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number9711000494
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: