Provider Demographics
NPI:1699658906
Name:OSBORNE, TANA N (PTA)
Entity type:Individual
Prefix:MRS
First Name:TANA
Middle Name:N
Last Name:OSBORNE
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:MRS
Other - First Name:TANA
Other - Middle Name:N
Other - Last Name:MURRAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PTA
Mailing Address - Street 1:216 ELKMORE RD
Mailing Address - Street 2:
Mailing Address - City:ELKTON
Mailing Address - State:MD
Mailing Address - Zip Code:21921-7231
Mailing Address - Country:US
Mailing Address - Phone:443-350-6655
Mailing Address - Fax:443-350-6655
Practice Address - Street 1:1 PRICE DR
Practice Address - Street 2:
Practice Address - City:ELKTON
Practice Address - State:MD
Practice Address - Zip Code:21921-6731
Practice Address - Country:US
Practice Address - Phone:410-398-6474
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-26
Last Update Date:2025-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDA3142225200000X
DEJ2-0001314225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant