| Doctor Name: | CHARLES J KULL |
| NPI Number: | 1033466586 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT, DPT |
| License Number: | 40QA01448800 |
| Business Practice Address: | 10201 Arcos Ave Ste 206 Estero, FL - 339289461 |
| Business Phone Number: | 2394823110 |
| Business Fax Number: | |
| Mailing Address: | 15999 Mandolin Bay Dr, Apt D204 FORT MYERS |
| State: | FL |
| Postal Code: | 339082557 |
| Phone Number: | 9737143886 |
| Fax Number: | |
| NPI Enumeration Date: | 08/14/2012 |
| NPI Last Update Date: | 08/21/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 40QA01448800 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |