Provider Demographics
NPI:1558439646
Name:TRAFTON-WINCH, JANE EILEEN (OTR)
Entity Type:Individual
Prefix:MS
First Name:JANE
Middle Name:EILEEN
Last Name:TRAFTON-WINCH
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22210 MIDBURY
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78259-2706
Mailing Address - Country:US
Mailing Address - Phone:210-545-2377
Mailing Address - Fax:
Practice Address - Street 1:22210 MIDBURY
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78259-2706
Practice Address - Country:US
Practice Address - Phone:210-378-4933
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX105721225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist