Healthcare Provider Details

I. General information

NPI: 1437017639
Provider Name (Legal Business Name): BRYN DREA DAWSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/14/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

86 LYNN DR
SANTA ROSA BEACH FL
32459-4200
US

IV. Provider business mailing address

901 LEXINGTON RD
DELAND FL
32720-1401
US

V. Phone/Fax

Practice location:
  • Phone: 850-374-3465
  • Fax: 850-978-2212
Mailing address:
  • Phone: 386-717-0755
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: