Healthcare Provider Details

I. General information

NPI: 1669335147
Provider Name (Legal Business Name): ROBIN J LOFFLER RD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/03/2025
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 WELLS ST
WESTERLY RI
02891-2934
US

IV. Provider business mailing address

17 PUTTKER RD
NORTH STONINGTON CT
06359-1119
US

V. Phone/Fax

Practice location:
  • Phone: 401-348-3464
  • Fax: 401-348-3761
Mailing address:
  • Phone: 401-474-8519
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberLDN1407
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: