Provider Demographics
NPI:1730654203
Name:MILANO, JANET FENDALL (DPT)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:FENDALL
Last Name:MILANO
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:JANET
Other - Middle Name:FENDALL
Other - Last Name:RUST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:329 HARKINS BLUFF DR
Mailing Address - Street 2:
Mailing Address - City:GREER
Mailing Address - State:SC
Mailing Address - Zip Code:29651-9010
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:101 COTTAGE CREEK CIR
Practice Address - Street 2:
Practice Address - City:GREER
Practice Address - State:SC
Practice Address - Zip Code:29650-2438
Practice Address - Country:US
Practice Address - Phone:864-688-3839
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-10
Last Update Date:2018-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC7718225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist