Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Diana Marcela Roldan Mora

Individual provider Physical Therapy Assistant · NPI 1578862207

Mrs. Diana Marcela Roldan Mora is a Physical Therapy Assistant in Deerfield Beach, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2011
Specialties on file
2

Practice location Address checks out

883 Crystal Lake Dr
Deerfield Beach, FL 33064-1948
Phone: (786) 312-5827
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmental Therapist (primary) Taxonomy 222Q00000X
Physical Therapy Assistant Taxonomy 225200000X · Licence PTA21898 (FL)

Record details

NPI number1578862207
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 21, 2011
Last updated in NPPESMarch 6, 2025
Certification dateMarch 6, 2025

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