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

Clifford Angco Gaviola, PT

Individual provider Physical Therapist · NPI 1902880883

Clifford Angco Gaviola, PT is a Physical Therapist in Revere, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2005.

Licensed in
MA
In the registry since
2005
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

372 Broadway
Revere, MA 02151-5016
Phone: (781) 485-1001
Fax: (781) 289-6820
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 16695 (MA)

Record details

NPI number1902880883
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedDecember 3, 2005
Last updated in NPPESSeptember 2, 2020
Certification dateSeptember 2, 2020

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