| LCA CASE NUMBER | I-200-19281-076159 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2019-10-08 |
| DECISION DATE | 2019-10-16 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Occupational Therapist |
| SOC CODE | 29-1122.00 |
| SOC TITLE | Occupational Therapists |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2019-10-09 |
| END DATE | 2022-10-08 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | INTERFACE REHAB INC. |
| EMPLOYER ADDRESS1 | 774 S Placentia Avenue |
| EMPLOYER ADDRESS2 | Suite # 200 |
| EMPLOYER CITY | Placentia |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 92870 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | +17146468904 |
| NAICS CODE | 62134 |
| EMPLOYER POC LAST NAME | VU |
| EMPLOYER POC FIRST NAME | JANSEN |
| EMPLOYER POC JOB TITLE | Controller |
| EMPLOYER POC ADDRESS1 | 774 S PLACENTIA AVENUE |
| EMPLOYER POC ADDRESS2 | Suite # 200 |
| EMPLOYER POC CITY | Placentia |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 92870 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | +17146468904 |
| EMPLOYER POC EMAIL | JANSEN@INTERFACEREHAB.COM |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Shah |
| AGENT ATTORNEY FIRST NAME | Bharati |
| AGENT ATTORNEY ADDRESS1 | P O Box 418 |
| AGENT ATTORNEY CITY | Placentia |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 92871 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17145252000.0 |
| AGENT ATTORNEY EMAIL ADDRESS | bharatilaw@gmail.com |
| LAWFIRM NAME BUSINESS NAME | Law Offices of Bharati Shah |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | CA |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | Y |
| SECONDARY ENTITY BUSINESS NAME | Indio Nursing & Rehabilitation Center |
| WORKSITE ADDRESS1 | 47763 Monroe Street |
| LCA CASE WORKLOC1 CITY | Indio |
| WORKSITE COUNTY | RIVERSIDE |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 92201 |
| LCA CASE WAGE RATE FROM | 39.62 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 39.62 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1.0 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Shah |
| PREPARER FIRST NAME | Bharati |
| PREPARER BUSINESS NAME | Law Offices of Bharati Shah |
| PREPARER EMAIL | bharatilaw@gmail.com |
