| LCA CASE NUMBER | I-200-20122-535780 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-05-01 |
| DECISION DATE | 2020-05-08 |
| 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 | 2020-05-01 |
| END DATE | 2023-03-05 |
| 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 | Daviess County Hospital |
| TRADE NAME DBA | Daviess Community Hospital |
| EMPLOYER ADDRESS1 | 1314 East Walnut Street |
| EMPLOYER CITY | Washington |
| EMPLOYER STATE | IN |
| EMPLOYER POSTAL CODE | 47501 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18122542760 |
| EMPLOYER PHONE EXT | 1132.0 |
| NAICS CODE | 62211 |
| EMPLOYER POC LAST NAME | Petty |
| EMPLOYER POC FIRST NAME | Jamie |
| EMPLOYER POC JOB TITLE | Benefits Coordinator |
| EMPLOYER POC ADDRESS1 | 1314 East Walnut Street |
| EMPLOYER POC CITY | Washington |
| EMPLOYER POC STATE | IN |
| EMPLOYER POC POSTAL CODE | 47501 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18122542760 |
| EMPLOYER POC PHONE EXT | 1132.0 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Musillo |
| AGENT ATTORNEY FIRST NAME | Christopher |
| AGENT ATTORNEY MIDDLE NAME | Thomas |
| AGENT ATTORNEY ADDRESS1 | 302 West Third Street |
| AGENT ATTORNEY ADDRESS2 | Suite 710 |
| AGENT ATTORNEY CITY | Cincinnati |
| AGENT ATTORNEY STATE | OH |
| AGENT ATTORNEY POSTAL CODE | 45202 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15137444080.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Musillo Unkenholt, LLC |
| STATE OF HIGHEST COURT | OH |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 1314 East Walnut Street |
| LCA CASE WORKLOC1 CITY | Washington |
| WORKSITE COUNTY | DAVIESS |
| LCA CASE WORKLOC1 STATE | IN |
| WORKSITE POSTAL CODE | 47501 |
| LCA CASE WAGE RATE FROM | 29.93 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 29.93 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| 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 |
| PREPARER LAST NAME | White |
| PREPARER FIRST NAME | Jenna |
| PREPARER MIDDLE INITIAL | R |
| PREPARER BUSINESS NAME | Musillo Unkenholt, LLC |
| PREPARER EMAIL | [email protected] |
