| LCA CASE NUMBER | I-200-20126-540906 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-05-04 |
| DECISION DATE | 2020-05-11 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | PHYSICAL THERAPIST |
| SOC CODE | 29-1123.00 |
| SOC TITLE | Physical Therapists |
| FULL TIME POSITION | N |
| LCA CASE EMPLOYMENT START DATE | 2020-05-04 |
| END DATE | 2023-05-03 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | BRONSON SOUTH HAVEN HOSPITAL |
| EMPLOYER ADDRESS1 | 955 S. BAILEY AVENUE |
| EMPLOYER CITY | SOUTH HAVEN |
| EMPLOYER STATE | MI |
| EMPLOYER POSTAL CODE | 49090 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12696375271 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | DANIELS |
| EMPLOYER POC FIRST NAME | KELLY |
| EMPLOYER POC JOB TITLE | EMPLOYMENT SUPERVISOR |
| EMPLOYER POC ADDRESS1 | 601 JOHN STREET |
| EMPLOYER POC CITY | KALAMAZOO |
| EMPLOYER POC STATE | MI |
| EMPLOYER POC POSTAL CODE | 49007 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12693414900 |
| EMPLOYER POC EMAIL | DANIELSK@BRONSONHG.ORG |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Battle |
| AGENT ATTORNEY FIRST NAME | Kevin |
| AGENT ATTORNEY MIDDLE NAME | D |
| AGENT ATTORNEY ADDRESS1 | 45 Ottawa Avenue S.W. |
| AGENT ATTORNEY ADDRESS2 | Ste 1100 |
| AGENT ATTORNEY CITY | Grand Rapids |
| AGENT ATTORNEY STATE | MI |
| AGENT ATTORNEY POSTAL CODE | 49503 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16168311718.0 |
| AGENT ATTORNEY EMAIL ADDRESS | battlek@millerjohnson.com |
| LAWFIRM NAME BUSINESS NAME | MILLER JOHNSON |
| STATE OF HIGHEST COURT | MI |
| NAME OF HIGHEST STATE COURT | SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 955 S. BAILEY AVENUE |
| LCA CASE WORKLOC1 CITY | SOUTH HAVEN |
| WORKSITE COUNTY | VAN BUREN |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 49090 |
| LCA CASE WAGE RATE FROM | 33.28 |
| LCA CASE WAGE RATE TO | 43.93 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 33.28 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
