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

Creative Orthotic Laboratory

Organization Prosthetic/Orthotic Supplier · NPI 1306803218

Creative Orthotic Laboratory is a Prosthetic/Orthotic Supplier in Glendale, Arizona. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

8608 N 59th Ave
Glendale, AZ 85302-5404
Phone: (623) 934-3213
Fax: (623) 930-1891
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X

Record details

NPI number1306803218
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Gorman — C.E.O. · (623) 934-3213
NPI enumeratedApril 26, 2006
Last updated in NPPESAugust 22, 2020
Mailing address8608 N 59th Ave, Glendale, AZ 85302-5404

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